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ARCHIVED REPORTS XR0006964
Environmental Health - Public
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EHD Program Facility Records by Street Name
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103
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3500 - Local Oversight Program
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PR0544638
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ARCHIVED REPORTS XR0006964
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Entry Properties
Last modified
7/9/2019 3:06:03 PM
Creation date
7/9/2019 2:12:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006964
RECORD_ID
PR0544638
PE
3528
FACILITY_ID
FA0004027
FACILITY_NAME
HENDRIX FORK LIFT INC
STREET_NUMBER
103
Direction
N
STREET_NAME
E
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15318001
CURRENT_STATUS
02
SITE_LOCATION
103 N E ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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i <br /> It h. <br /> Billing Inform: _ Page: <br /> CHAIN-OF-CUSTODY RECORD L2�t� <br /> 1orl <br /> Alpha Analytical, Inc. WorkOrder : STR0206056I <br /> 255 Glendale Avenue,Suite 21 Sparks,Nevada 89431-5778 <br /> TEL:(775)355-1044 FAX:(775)355-0406 Report Due By : 5:00 PM On : I3-Jun-02 <br /> Client: <br /> Stratus Environmental Jay Johnson <br /> 3330 Cameron Park Drive TEL: (530)676-6000 EDD Required: No <br /> Suite 550 FAX: (530)676-6005 <br /> : <br /> Cameron Park,CA 95682-8861 Jab: 2001-0103rTeichert Sampled by C.Hill <br /> Report Attention : Jay Johnson PO: Client's COC#: none Cooler Temp: 4°C 05-Jun-02 <br /> CC Report <br /> QC Level; S3 = Final Rpt,MBLK,LCS,MSlMSD With Surrogates <br /> Requested Tests — <br /> Alpha Client Collection No.of Bottles 200_8 TPHrP_w voc_w <br /> Sample ID Sample ID Matrix Date ORG SUB TAT PWS# Sample Remarks <br /> STR02060561 01A MW-13 4/02 fi 1 fi 200816020A GAS-CAL BTEXIOXY, I =Total Lead <br /> AQ�06/0 <br /> l —I <br /> 12:00 _2— norg <br /> l� I subcontracted to SEM. <br /> DCA,EDB <br /> STR02060561-02A MW-14 AQ 06/04/02 1 6 1 6 200.6I6020A GAS-CAL BTewI <br /> oxY, 1 Inorg=Total Lead <br /> 11:40 11,`- I subcontracted to SEM. <br /> DCA,EDB <br /> I. <br /> I. - <br /> I <br /> Comments: Ca sample.Real ice frozen.Security seals intact.Inorganics subcontracted to SEM.:ALWAYS send copy of receipt checklist with final report <br /> SignatureI Print Name r Company_ DatelTime <br /> I Received b + ! AlphaL . <br /> Y. l rl ✓ " <br /> �� J Analytical,Inc. ! —� <br /> NOTE: Samples are discar d 60 days after results are reported unless other arrangements are made. Hazardous samples will be returned to client or disposed of at client expense. <br /> The report for the analysis of the above samples is applicable only to those samples received by the laboratory with this COG.The liability of the laboratory is limited to the amount paid for the report. <br /> Matrix Type. AQ(Aqueous) AR(Air) SO(Soil) WS(Waste) DW(Drinking Water) OT(Other) Bottle Type: L-Liter V-Voa S-Soil Jar O-Orbo T-Tedlar B-Brass P-Plastic OT-Other <br />
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